1386672939 NPI number — JON M. FINLEY, D.D.S., P.C.

Table of content: (NPI 1386672939)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386672939 NPI number — JON M. FINLEY, D.D.S., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JON M. FINLEY, D.D.S., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386672939
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4650 W 90TH TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRAIRIE VILLAGE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66207-2308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-642-0000
Provider Business Mailing Address Fax Number:
913-642-0051

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4650 W 90TH TER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRAIRIE VILLAGE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66207-2308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-642-0000
Provider Business Practice Location Address Fax Number:
913-642-0051
Provider Enumeration Date:
06/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FINLEY
Authorized Official First Name:
JON
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
913-642-0000

Provider Taxonomy Codes

  • Taxonomy code: 1223P0700X , with the licence number:  6232 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)